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MID SOUTH RETINA ASSOCIATES, LLC
NPI 1316973076
Ophthalmology in Blytheville, AR

Active since June 24, 2006
529 N 10TH ST, BLYTHEVILLE, AR 72315(870) 762-1942(901) 682-1100 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid South Retina Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID SOUTH RETINA ASSOCIATES, LLC (NPI 1316973076) is a healthcare organization registered as an ophthalmology in Blytheville, Arkansas and active in the NPI registry since June 2006. The organization lists Richard Sievers, Partner, as its authorized official.

NPPES Registry Identity

NPI1316973076
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMID SOUTH RETINA ASSOCIATES, LLC
Location Address529 N 10TH STBlytheville, AR 72315-1974
Mailing AddressPo Box 1000 Dept 448Memphis, TN 38148-0448 · (870) 762-1942 · Fax (901) 682-6915
Phone(870) 762-1942
Fax(901) 682-1100
Organization SubpartYesParent: Mid-south Retina Associates, Llc
Authorized OfficialRichard SieversPartner · (901) 682-1100
Enumeration DateJune 24, 2006
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1316973076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
529 N 10TH ST, Blytheville, AR 72315
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Other Identifiers 2

Medicaid158632001AR
Other5C535AR · Blue Cross Of Arkansas

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid South Retina Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mid South Retina Associates, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Lawrence Gordon, M.D.
Ophthalmology
NPI 1982609665
6005 PARK AVE STE 624B
Memphis, TN 38119
(901) 682-1100
✔ PECOS✔ Accepts Medicare58 mi
Richard Sievers, M.D.
Ophthalmology
NPI 1962407791
6005 PARK AVE STE 624B
Memphis, TN 38119
(901) 682-1100
✔ PECOS✔ Accepts Medicare58 mi
Steven Williams, M.D.
Ophthalmology
NPI 1457685331
6005 PARK AVE STE 624B
Memphis, TN 38119
(901) 682-1100
✔ PECOS✔ Accepts Medicare58 mi
Anuoluwapo Sopeyin
Ophthalmology
NPI 1568090827
1800 ORLEANS ST
Baltimore, MD 21287
(410) 955-8893
✔ PECOS766 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid South Retina Associates, LLC's NPI number?

The NPI number for Mid South Retina Associates, LLC is 1316973076. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Mid South Retina Associates, LLC located?

Mid South Retina Associates, LLC is located at 529 N 10th St, Blytheville, AR 72315. The listed phone number is (870) 762-1942.

What is Mid South Retina Associates, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mid South Retina Associates, LLC enrolled in Medicare?

Yes. Mid South Retina Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid South Retina Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Mid South Retina Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid South Retina Associates, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 3 other insurers list Mid South Retina Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid South Retina Associates, LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.